Healthcare Provider Details

I. General information

NPI: 1568521789
Provider Name (Legal Business Name): ARTHUR EDWARD CASH LISCW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 N MAIN ST STE 10
EAST LONGMEADOW MA
01028-1878
US

IV. Provider business mailing address

296 N MAIN ST STE 10
EAST LONGMEADOW MA
01028-1878
US

V. Phone/Fax

Practice location:
  • Phone: 413-206-8349
  • Fax: 413-206-8349
Mailing address:
  • Phone: 413-206-8349
  • Fax: 413-206-8349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113085
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: